The patient must fill out, sign, and date the Authorization. The Prior Authorization (PA) unit at AHCCCS authorizes specific services prior to delivery of medical related services.PA request status can be viewed online. Just fill out a Patient Request For Access to Protected Health Information Form and include the doctor's name, mailing address, phone number and fax number. To submit a request for medical records from Dignity Health Medical Group – Arizona, please download and fill out the request forms and submit them. Students must mark prominently on the Student Information Form that they seek admission as WUE students. By filling out this guide, you will remember where you left off in the enrollment steps. Edit, sign, and share Authorization to Use and Disclose Protected - Maricopa County online. No need to install software, just go to DocHub, and sign up